If you've had surgery in your abdominal area, you might experience this type of hernia. In incisional hernias, part of the intestines bulge through the abdomen around a surgical incision. In this case, surgery actually weakened the muscle tissue in the abdomen. This type of hernia requires another surgery to repair it.
What can you do for an Incisional Hernia?
Incisional Hernias do not just go away so it is important you talk to your doctor and receive treatment. Over time your hernia could become larger more painful and a serious problem that requires medical attention. In some cases of incisional hernias, especially in obese patients, the diagnosis can be difficult. In cases like this a CT scan of the abdomen can help in making the diagnosis. In those studies one can see the defect in the abdominal wall and then recommend the appropriate surgical repair. There are two surgical methods to repair ventral-incisional hernias. The open approach or the laproscopic approach. Both are done with the insertion of a mesh that makes the repair stronger and with a very low recurrence rate. In the endoscopic method the mesh is fixed to the inner abdominal wall with the help of sutures and or endoscopic screws. One should be aware that if only the screws are used without sutures then recurrence might happen. In the open method the fixation of the mesh to the abdominal wall is done very strongly and safely with sutures. The open approach is easier in cases of previous multiple abdominal surgeries and at times can be done with heavy sedation or very mild general anesthesia.
Dr. Reisfeld’s Experienced and Successful Approach:
In cases of very large incisional hernia there is a need to perform the repair/operation with a method that is called component repair. In this case the gap or the defect is so large that it necessitates the creation of barrier between the mesh and the content of the abdomen (i.e. intestine). Here a viable piece of tissue is created to form a barrier between the mesh and the inner abdominal content. A large piece of mesh is sutured above this barrier to create an extremely strong, durable closure/repair without any contact with the inner abdominal cavity. The benefits of this method are the strength of the repair and the lack of contact between the mesh and the abdominal organs (i.e. intestines). Dr. Reisfeld has seen exceptional success with this particular method.
Dr. Reisfeld has over 20 years of experience with Hernia's in the Los Angeles area making him an expert on this topic. Please contact us and Doctor Reisfeld will take the time to personally speak with you.
Learn about the Hernia Surgical Procedure